Indiana
Professional Licensing Agency
Kimberly E. Burris
Radiology Provisional Permit
License number
XP501532
Date granted
12/18/2008
Date expires
06/18/2009
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Shelbyville IN 46176-8408
indianalicensing.org
ID 8495290
LAST UPDATED 2024-03-12 05:59:04 UTC
LAST UPDATED 2024-03-12 05:59:04 UTC
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